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1407690944
MICHELLE LYNN FUNDERBURG
TIGARD, OR
NPI
1407690944
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WA2000X Registered Nurse, Administrator
(Licence: ID 45697)
Enumeration Date
2024-06-20
Last Update Date
2024-06-20
Business Address
MICHELLE LYNN FUNDERBURG BSN, RN
7632 SW DURHAM RD STE 105
TIGARD, OR 97224-7597
Phone number: 208-520-8839
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Mailing Address
MICHELLE LYNN FUNDERBURG BSN, RN
9593 W MONTEBELLO DR
BOISE, ID 83709-6692
Phone number: 208-520-8839
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